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Our Benefits, Your Choice: TIME TO CHOOSE WHAT WORKS FOR YOU IN 2018
2018 BENEFITS GUIDE (U.S. EMPLOYEES)
Current Employees: Enroll November 16 – December 6, 2017
New Hires: Enroll within 30 days of hire date
At Halliburton, we work hard to provide you with the benefits you need to be your best — but we can’t do it alone. It’s up to you to make healthy choices for your life, and to take advantage of the resources and opportunities we provide. Our history as a company proves that when we work together, we can do great things — so join us on a journey to better health.
Make healthy choices across all aspects of your life:
The partnership between you and Halliburton means that you can start working to improve your health today. Select the right benefits, then make them work for you.
WHEN TO ENROLL:CURRENT EMPLOYEES must enroll in 2018 benefits during Annual Enrollment, November 16 – December 6, 2017.
NEW HIRES must enroll in 2018 benefits within 30 days of their date of hire.
Halliburton U.S. Domestic Benefits Guide
NUTRITIONPHYSICAL HEALTH
FINANCIAL WELLNESS
COMMUNITY INVOLVEMENT
EMOTIONAL HEALTH
Table of Contents
WHAT’S NEW FOR 2018 3
What’s Changing and How 4
YOUR 2018 BENEFITS 7
Medical 7
Teladoc 9
How the Consumer Choice Plan Works 10
Health Savings Account (HSA) 11
Flexible Spending Accounts (FSAs) 12
Tobacco-Free Benefit Requirements 13
Dental 14
Vision 15
Life Insurance 16
Accidental Death and Dismemberment (AD&D) 16
Flex Days 16
Long-Term Disability (LTD) 17
Employee Assistance Program (EAP) 17
ENROLLMENT AND ELIGIBILITY 18
When to Enroll 18
How to Enroll in Your Benefits 18
Total Rewards Website 22
Qualified Change-in-Status Events 23
THE HALLIBURTON RETIREMENT AND SAVINGS PLAN 24
Naming or Updating Your Beneficiaries 24
COMPLIANCE AND LEGAL NOTICES 25
The Women’s Health and Cancer Rights Act of 1998 25
IRS Form 1095-c 26
Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) 26
Halliburton U.S. Domestic Benefits Guide > Table of Contents 1
2
What’s New for 2018
In an effort to provide you with the best value for benefits that meet your needs, we evaluate and revise your options every year. This process keeps our benefits sustainable and up to date, making sure we can continue to offer you the ability to improve your life, every day. Here are the updates we’re making for 2018.
3Halliburton U.S. Domestic Benefits Guide > What’s New for 2018
What’s Changing … And How
Changes to Your Medical Coverage
Medical Plan Contributions
To sustain our health and welfare benefit plans, premiums (your cost for coverage) will increase slightly. For more detailed information on your premiums, visit the Halliburton Total Rewards website at www.halliburton.com/totalrewards.
Emergency Room Coinsurance
For both the Basic and Standard PPO plans, you’ll pay a $200 copay plus your applicable coinsurance after meeting your deductible for an Emergency Room visit. Remember to use in-network providers and facilities when possible, and consider whether your illness or injury is truly an emergency before you go to the Emergency Room. For many medical concerns, an Urgent Care center may provide both less expensive and faster medical assistance. Contacting Teladoc is an even faster and less expensive option, as long as your medical concern isn’t particularly urgent, but can’t wait for an appointment with your normal doctor.
You can easily find Urgent Care centers, and other providers, near you with the BCBSTX provider finder app, available on both the Apple App Store and Google Play for Android.
In-Network Lab and X-Ray Services
For both the Basic and Standard PPO Plans, you’ll pay 30% or 20% coinsurance for in-network x-ray and lab services.
Blue Distinction Centers for Knees, Hip and Spine Treatment
Effective January 1, 2018, BCBSTX’s Blue Distinction Centers will offer knee replacement, hip replacement, and spinal surgeries to covered employees and dependents who meet the requirements as outlined by their physician. Only when these surgeries are performed at a BCBSTX Blue Distinction Center will they be covered by the plan. You can find a Blue Distinction Center at www.bcbs.com/blue-distinction-center-finder.
Flexible Spending Account (FSA) Change
If you would like to make contributions to a healthcare or dependent care FSA, you must make a new election each year you want to participate — much like the current Health Savings Account, your election will no longer automatically roll over.
Review Your BenefitsREVIEW YOUR BENEFITS
It’s always smart to review your benefit choices each year to confirm or make changes to your elections and take note of plan or pricing changes if applicable. Most of your current benefits will roll over to the next year; however, if you want to participate in a Flexible Spending Account or Health Savings Account, or elect Flex Days, you must actively enroll in these benefits for 2018.
Even if you choose to not make any changes, log on to the Halliburton Total Rewards website and review and submit all of your elections. If you experience a qualified change-in-status or you are a late year new hire, you must submit your elections and, if applicable, verify your newly added dependents by the deadline or you will not be able to make any changes until the next Annual Enrollment period, unless you experience another qualified change-in-status, which you must report within 30 days of the event.
4 Halliburton U.S. Domestic Benefits Guide
What’s Changing … And How
Changes to Your Prescription Drug Coverage
New Smart90 Walgreens Program
Beginning January 1, 2018, you have two ways to receive up to a 90-day supply of your long-term maintenance medication (drugs you take regularly for ongoing conditions). You can:
1. Fill prescriptions through home delivery from the Express Scripts Pharmacy (the current benefit), or
2. Fill prescriptions at a Walgreens retail pharmacy using the Smart90 Walgreens Network and receive equivalent cost savings as the current mail-order benefit. This option allows you to fill your 90-day maintenance prescriptions at a Walgreens retail location.
To locate a pharmacy in the Smart90 network, log in to www.express-scripts.com and click “Locate a pharmacy” from the menu under “Manage Prescriptions” — Smart90 network pharmacies will be noted in your search results. If you are a first-time visitor to www.express-scripts.com, have your member ID number handy and take a minute to register. You can also use the Express Scripts app on your mobile device to locate a participating pharmacy.
New SaveonSP Program for PPO and DMP Plans
Beginning January 1, 2018, we are introducing a new specialty drug coinsurance assistance program, coordinated through SaveonSP. You are eligible to participate in SaveonSP program if you are currently taking, or if you begin taking specific specialty drugs. The program will help you enroll in any applicable manufacturer coinsurance assistance programs for your qualifying drugs.
Enrollment in the program is voluntary. However, your specialty drug coinsurance will be waived if you choose to participate. If you are eligible and choose not to enroll in the program, you will be responsible for the full cost of your applicable specialty drugs, and this expense will not count toward your deductible or out-of-pocket maximum.
If you are eligible to participate in this program, you will receive a letter in the mail from SaveonSP outlining your enrollment process. This does not apply to the CCP plan. Please note, your prescriptions will still be filled through Accredo, Halliburton’s specialty mail-order pharmacy.
Prescription Drug Deductible for PPO and DMP Plans
The prescription drug deductible for all PPO and DMP plans will increase to $50, regardless of coverage level. You must reach this deductible before the plan will begin paying a portion of the cost of your prescription drugs.
Halliburton U.S. Domestic Benefits Guide > Review Your Benefits 5
Review Your Benefits (continued)
What’s Changing … And How
Changes to Your Dental Coverage
Out-of-Network Coinsurance
Using in-network providers for care is less expensive both for you, and for the Company. That’s why we’re changing the coinsurance you pay for basic, out-of-network dental services to 50% effective January 1, 2018.
Changes to Your Purchased Time Off
Flex Days Must be Re-Elected
If you would like to purchase flex days for 2018, you must actively elect them during Annual Enrollment. Your previous election will no longer roll over. You may only elect flex days during Annual Enrollment.
URGENT CARE VS. FREESTANDING ER
An Urgent Care center is a much less expensive option than an Emergency Room, and should be used for medical situations which are urgent, but not quite emergencies.
Freestanding Emergency Rooms — those not associated with a hospital — are beginning to pop up throughout residential areas.
Though freestanding ERs tend to have the same look and feel of Urgent Care centers, many people are unaware that they will pay Emergency Room prices if they receive care there.
If you do decide to visit a freestanding ER, make sure to ask what your costs will be BEFORE you receive care. Otherwise, you may be responsible for a much larger price tag than you expect.
NO NEED FOR PAPER?
Last year, Halliburton introduced the option to receive paperless benefits communications — and more than 63% of employees have already done so. We are still encouraging our employees to join the paperless movement. Help us go green by logging on to www.halliburton.com/totalrewards. To change your preference to digital, click on the Health & Benefits icon, where you can elect to receive all of your benefit communications electronically.
Please note that if you elect to go paperless, you will not receive an enrollment confirmation statement in the mail. You must confirm your final benefit elections online. After the enrollment period has ended, you will have 10 business days to call the Halliburton Benefits Center to make any corrections; otherwise, you will be enrolled per your online elections, unless you have a qualifying life event and you report it within 30 days.
Halliburton U.S. Domestic Benefits Guide6
MEDICAL
Halliburton offers a choice of medical plans. Eligibility for all plans depends on your home ZIP code on file with the Halliburton Benefits Center.
» Basic Preferred Provider Organization (Basic PPO) » Standard Preferred Provider Organization (Standard PPO) » Consumer Choice Plan (CCP) » Basic Deductible Medical Plan (Basic DMP) » Standard Deductible Medical Plan (Standard DMP) » Consumer Choice Out-of-Area Plan (OOA)
The comparison charts below show the differences between each plan. Always remember that you can save money by using in-network providers. Log on to www.halliburton.com/totalrewards for more information on your medical plan options.
Basic PPO, Standard PPO and Consumer Choice Plan (CCP)
Basic PPO Standard PPO CCP
In- Network
Out-of- Network
In- Network
Out-of- Network
In- Network
Out-of- Network
Individual Deductible $800 $800 $1,500 $1,500 $2,700 $2,700
Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400 $5,400
Halliburton Contribution to your HSA
N/A N/A Up to $1,200
Individual Out-of-Pocket Maximum
$4,250 $8,500 $4,250 $8,500 $4,750 $9,500
Family Out-of-Pocket Maximum
$8,500 $17,000 $8,500 $17,000 $9,500 $19,000
Co-insurance (Paid by Plan)
70%50% of allowed amount
80%50% of allowed amount
80%50% of allowed amount
Routine Office Visit (Primary Care/Specialist)
70%50% after deductible
80%50% after deductible
80% after deductible
50% after deductible
Emergency Room*$200 plus employee
coinsurance after deductible
$200 plus employee coinsurance after
deductible80% after deductible
Annual Physical Exam/Preventive Care
100%50% after deductible
100%50% after deductible
100% 50%
*Emergency room copay waived if admitted.
Review Your Benefits (continued) Your 2018 Benefits
7Halliburton U.S. Domestic Benefits Guide > Benefits for 2018
Basic DMP, Standard DMP, and Consumer Choice Out-of-Area Plan
Basic DMP Standard DMP CCP Out-of-Area
In- Network
Out-of- Network
In- Network
Out-of- Network
Out-of-Area
Individual Deductible $800 $800 $1,500 $1,500 $2,700
Family Deductible $1,600 $1,600 $3,000 $3,000 $5,400
Halliburton Contribution to your HSA
N/A N/A Up to $1,200
Individual Out-of-Pocket Maximum
$4,250 $4,250 $4,250 $4,250 $4,750
Family Out-of-Pocket Maximum
$8,500 $8,500 $8,500 $8,500 $9,500
Co-insurance (Paid by Plan)
70%70% of allowed amount
80%80% of allowed amount
80% of allowed amount
Routine Office Visit (Primary Care Physician/Specialist)
70%70% after deductible
80%80% after deductible
80% after deductible
Annual Physical Exam/Preventive Care
100% 70% 100% 80% 100%
Prescription Drug Coverage — All Plans*
Basic and Standard PPO/DMP
CCP OOA CCP
In-Network Out-of-Network**
Prescription Drug Deductible
$50Medical deductible
applies Medical deductible
applies
RETAIL PHARMACY: Prescription Drug Coverage — You Pay***
Generic 30-Day Supply $15 20% after deductible 50% after deductible
Preferred Brand 30-Day Supply
25% Minimum: $25/ Maximum: $100
20% after deductible 50% after deductible
Nonpreferred Brand 30-Day Supply
45% Minimum: $45/ Maximum: $100
20% after deductible 50% after deductible
MAIL OR SMART90 WALGREENS PHARMACY: Prescription Drug Coverage — You Pay
Generic 90-Day Supply $30 20% after deductible 50% after deductible
Preferred Brand 90-Day Supply
25% Minimum: $65/ Maximum: $200
20% after deductible 50% after deductible
Nonpreferred Brand 90-Day Supply
45% Minimum: $115/Maximum: $250
20% after deductible 50% after deductible
Specialty Pharmacy****
35% Minimum: $30/ Maximum: $300
20% after deductible 50% after deductible
* Refer to the Summary Plan Description (SPD) for information on prescription drug coverage out-of-pocket maximums.** Out-of-Network subject to allowed amount limits.*** Maximum of two fills of a maintenance medication at a retail pharmacy; for additional fills, you pay the full cost.**** Minimum and maximum co-pay amounts depend on number of days supplied.
HEALTH SAVINGS ACCOUNT (HSA)
The HSA is only available in the Consumer Choice Plan, which means you can only receive Halliburton’s contribution if you enroll in the CCP.
KNEE, HIP AND SPINE CARE
Effective January 1, 2018, BCBSTX’s Blue Distinction Centers will offer knee, hip and spine surgery to covered employees and dependents. Only surgeries performed at these high quality, cost-effective providers will be covered.
8 Halliburton U.S. Domestic Benefits Guide
TELADOC
When you experience an injury or illness, Halliburton offers an alternative to visiting your doctor’s office for care. With Teladoc, you can talk with a qualified doctor over the phone and receive treatment for your condition.
This service is not an alternative to your medical plan, but it is an excellent way to access acute, non-emergency care at any time. A co-pay will apply for each use of Teladoc based on your medical plan and will apply to your out-of-pocket maximum:
PPO or DMP: $10 co-pay
CCP: $40 fee for service
Download the app:
THE IMPORTANCE OF PREVENTIVE CARE
Preventive care is covered at 100% in-network, but that’s not the only reason to get your annual checkup. Preventive care can catch many conditions early, sometimes before symptoms begin.
9Halliburton U.S. Domestic Benefits Guide > Benefits for 2018
HOW THE CONSUMER CHOICE PLAN WORKS
Phase 1: Deductible
Phase 2: Co-insurance
Phase 3: Out-of-Pocket Maximum
Preventive care is covered at 100% in-network. Certain maintenance medications are also covered at 100%, but you pay the full cost of the remainder of your medical care until you reach your deductible. This is offset by the contribution Halliburton makes to your HSA and the tax savings you gain by participating in the account when you contribute your own funds. You may use your Limited Purpose Health Care FSA for vision and dental expenses even before you meet your deductible.
Once you meet the annual deductible, you share the cost of services by paying a percentage (called co-insurance) for covered health care expenses and prescription drugs. You can use the funds in your HSA to cover these co-insurance costs or you may use your Limited Purpose Health Care FSA for expenses incurred after the deductible has been met.
You pay co-insurance until you reach the annual out-of-pocket maximum. Then, the plan pays 100% of covered costs for the remainder of the year. If you go out-of-network for care, you may incur additional costs that are not included in the out-of-pocket maximum. Like other medical expenses, these costs can be paid using the balance in your HSA.
THE CONSUMER CHOICE PLAN (CCP)
The Consumer Choice Plan (CCP) provides medical coverage for you and your family, as well as up to $1,200 per year funded by Halliburton and deposited into your Health Savings Account. The plan has lower premiums, a slightly higher deductible, and allows you full control over the management of your health care spending.
FREE MONEY FROM HALLIBURTON!
Halliburton gives you up to $1,200 per year, deposited into your HSA, when you enroll in the Consumer Choice Plan (CCP). The money from Halliburton is yours to keep, and you will never pay taxes on it, the interest it earns, or any bills that you pay with it, as long as you only use it for qualified medical expenses.
Halliburton U.S. Domestic Benefits Guide10
HEALTH SAVINGS ACCOUNT (HSA)
The HSA is a special savings account used to pay for qualifying health care expenses. Anyone enrolled in the Halliburton CCP may take advantage of the HSA and receive company contributions deposited on a prorated basis throughout the year.
If you are age 55 or older, you can contribute an additional $1,000 to your HSA. You must elect a new contribution amount each year. Contributions you elected in a previous year will not roll over.
Any earnings on your account balance are tax-free as long as they are spent on eligible health care expenses. There is no limit on how much money you can accumulate and roll over from year to year.
HSA by the Numbers
Halliburton’s Contributions if You Open an HSA with ConnectYourCare
Your Maximum Allowed Contributions
Total Maximum Contributions for 2018
2018 Individual ContributionAmounts
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$2,850
$5,650$600
$1,200
$3,450
$6,850
2018 Employee + Dependent(s)Contribution Amounts
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 11
FLEXIBLE SPENDING ACCOUNTS (FSAs)
FSAs help you save money on your taxes by allowing you to use pre-tax dollars to pay for eligible medical and dependent day care expenses.
Health Care FSA:
Limited Purpose Health Care Spending Account
Dependent Day Care FSA
Eligibility: Participants in a DMP or PPO plan or anyone not enrolled in coverage
2018 Contribution Limits:$120 – $2,650
Availability of Funds: Full balance available January 1, 2018 Eligible Expenses: » Medical insurance deductibles and co-insurance » Dental deductibles » Non-cosmetic dental treatments » Laser eye surgery » Vision care
Eligibility: Participants in the CCP (see page 10)
2018 Contribution Limits:$120–$2,650
Availability of Funds: Full balance available January 1, 2018 Eligible Expenses: » Medical expenses after you meet your CCP deductible
» Dental deductible and non-cosmetic dental treatments
» Vision expenses
Eligibility: All benefits-eligible employees
2018 Contribution Limits:$120–$5,000
Availability of Funds: Funds only available as they are deposited into your accountEligible Expenses: » Day care centers » Elder/dependent care facility » Private sitters » Nursery school or preschool » Day camp
USE IT OR LOSE IT
Any FSA funds not used by December 31, 2018, will be forfeited.
USE YOUR DEBIT CARD … SAVE YOUR RECEIPTS
You may be required to confirm that you used your card to pay for an eligible expense. Generally, a copy of your Explanation of Benefits for medical or dental can be submitted as appropriate documentation. If you cannot or do not provide documentation supporting the eligible expense, your card will be suspended and the unsubstantiated expense could be subject to taxation. You will receive an Explanation of Benefits from your medical or dental provider.
Another method of confirming eligible expenses is to save your receipts — a valid receipt must show the date of purchase or service, amount of purchase or service, description of item or service, name of merchant or service provider and name of patient. Documentation can be provided through ConnectYourCare’s website,www.connectyourcare.com, or through the ConnectYourCare mobile app.
NEW FOR 2018!
You must elect FSA contributions each year during Annual Enrollment — your elections from the previous year will not carry over.
Halliburton U.S. Domestic Benefits Guide12
TOBACCO-FREE BENEFIT REQUIREMENTS
Tobacco-free employees show a commitment to leading a healthier lifestyle. If you are tobacco-free, you will receive a 50% medical premium discount, as long as you avoid using tobacco products. To qualify for this benefit, you must certify that you and your spouse, if applicable, have not used tobacco products in the last 12 months. You must also certify that you will continue to avoid tobacco products as long as you receive this incentive. This certification is subject to the Halliburton Code of Business Conduct.
If you can’t certify that you and your spouse are tobacco-free, you may qualify for an opportunity to earn the same premium discount by identifying yourself and/or your spouse as a tobacco user during Annual Enrollment, or upon hire on January 1, 2018 or thereafter, by choosing “Yes” to the election commitment to enroll in and complete the LiveWell Tobacco Cessation Program. To complete the program, you and/or your spouse have the choice to complete either four coaching calls or the online Tobacco Free Journey through the LiveWell Tobacco Cessation program. Employees hired prior to January 1, 2018 must complete the program’s requirements by April 30, 2018; employees hired on 1/1/2018 or thereafter, must complete the program’s requirements within 4 months of their hire date. Your receipt of the non-tobacco user incentive is subject to verification of your completion of the program. Failure to meet any of these requirements will result in the loss of the non-tobacco user incentive, and your medical and any optional life insurance payroll contributions will be updated to the tobacco rate.
To enroll in the Tobacco Cessation Coaching Program, you may call 877-278-5244, Monday - Thursday 7:00 a.m. to 10:00 p.m., Friday, 7:00 a.m. to 6 p.m., and Saturday, 10:00 a.m. to 2:00 p.m. C.T., or visit the Halliburton Total Rewards page at www.halliburton.com/totalrewards and click the LiveWell icon on the scrolling toolbar to schedule your call online. RedBrick Health coaches are certified experts who will work with you by phone to help answer health questions and help you to set goals to becoming tobacco-free. You can also choose to enroll in the Tobacco Free Journey, simply by visiting the Halliburton Total Rewards page and clicking the LiveWell icon on the scrolling toolbar.
If it is medically inadvisable for you to complete the telephone coaching program or the online Tobacco Free Journey, we will work with you (and, if you wish, with your doctor) to develop another way to get the incentive.
Get the RedBrick Health mobile app to access all of the LiveWell Tobacco Cessation Program tools and resources to help you improve your health — on the go! Download the app today via Google Play or the App Store.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 13
DENTAL
You have two dental coverage options: the Dental Preferred Provider Organization (DPPO) and the Dental Health Maintenance Organization (DHMO). To enroll in the DHMO, you must live in an eligible DHMO area.
The DPPO allows you to choose any dentist, whether in or out-of-network. However, out-of-network services may cost more.
With the DHMO, you will only receive benefits when you visit in-network providers. You must choose a primary care dentist — if you do not choose one, the DHMO will appoint one for you; however, you can contact Cigna at a later date to choose a primary care dentist.
Dental Plans
Benefit Provisions DPPO DHMO
In-Network Out-of-Network
Individual Deductible $50 $50 None
Preventive Services 100% covered 90% covered 100% covered
Basic Services 80% after deductible 50% after deductible Co-pay structure
Major Services 50% after deductible 50% after deductible Co-pay structure
Orthodontia/Lifetime Maximum
50%/$1,500 50%/$1,500Co-pay
structure/24-month treatment
Annual Maximum $1,500 $1,500 None
Halliburton U.S. Domestic Benefits Guide14
VISION
Vision coverage helps you manage the cost of routine eye care expenses like exams, contact lenses and eyeglasses for you and your eligible dependents.
Vision Plan
In-Network Out-of-Network
Eye Exam (one per calendar year)
100% after $10 co-pay Up to $50 after $10 co-pay
Prescription Glasses* Lenses– Single Vision– Lined Bifocal– Lined Trifocal
100% after $20 co-pay100% after $20 co-pay100% after $20 co-pay
Up to $50 after $20 co-payUp to $75 after $20 co-payUp to $100 after $20 co-pay
Frames (one per calendar year)
Up to $170 allowance after $20 co-pay; 20% discount off amount
over allowance
Up to $70 after $20 co-pay
Contact Lenses instead of prescription glasses (not medically necessary)*
Up to $150 allowance for contacts; up to $60 co-pay on contact lens
fitting exam**
Up to $105 allowance
Medically Necessary Contact Lenses***
100% after $20 co-pay when specific criteria
are met
Up to $210 after $20 co-pay when specific
criteria are met
Diabetic Eyecare Program
Medical eyecare services related to
Type 1 and 2 diabetes; $20 co-pay for medical
eyecare exam
Not covered
* One pair of prescription glasses or contacts every plan year, beginning in January, but not both in the same year.** Fitting and evaluation to ensure the proper fit of contact lens materials.*** These conditions include aphakia, anisometropia, high ametropia, nystagmus, keratoconus and correction
of extreme visual acuity problems that are not correctable with glasses, and following cataract surgery.
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 15
LIFE INSURANCE
The life insurance plan provides financial protection for you and your family in the event of your death or the death of one of your covered dependents. Basic coverage is company-paid and is equal to your annual benefit base pay, up to $50,000. You may choose to purchase extra coverage for yourself and your family.
Life Insurance
Coverage Optional Life Insurance
Employee*Increments of 1 to 6 times annual benefit base pay, up to $3 million including basic coverage.
Spouse*$10,000, or from ½ to 3 ½ times employee’s annual benefit base pay; coverage may not exceed employee coverage or $250,000, whichever is less.
Child(ren) under age 25 $10,000 per child
*May require evidence of insurability (EOI).
ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D)
Halliburton provides basic AD&D coverage at no cost to you, equal to your annual base pay, up to $200,000. You may choose to purchase extra coverage for yourself and your family.
AD&D
Coverage Optional AD&D
Employee*Increments of $50,000, up to $1 million or 10 times your annual benefit base pay — whichever is less.
Spouse*Increments of $50,000, up to $1 million or 10 times your annual benefit base pay — whichever is less. May not exceed employee coverage amount.
Child(ren) under age 25 $50,000 per child
*May require evidence of insurability (EOI).
FLEX DAYS
During Annual Enrollment, you may have the opportunity to purchase extra days off. However, it is important to discuss any vacation plans with your manager before purchasing flex days. If you do not actively make an election, your 2017 flex day election will not automatically carry over into the next year. You must actively purchase any flex days you wish to take in 2018. Any unused flex days will be forfeited at the end of the year, even if you had a change to your work schedule.
Halliburton U.S. Domestic Benefits Guide16
LONG-TERM DISABILITY (LTD)
Halliburton provides employees with basic LTD to assist you with a portion of your income if you become injured or too ill to work. After your application for benefits has been approved, the LTD program begins paying monthly benefits when you have been continuously disabled for 26 weeks. Your basic LTD is provided at no cost to you, and guarantees 40% of your income. You may purchase coverage for an additional 10% or 20% of your monthly income, subject to Evidence of Insurability (EOI) requirements. The maximum LTD benefit is $25,000 per month.
EMPLOYEE ASSISTANCE PROGRAM (EAP)
Halliburton strongly encourages all employees to take advantage of the EAP, which can help employees and their eligible dependents work through a variety of personal difficulties. Through our confidential process, the EAP can provide a free assessment of your concerns and discuss strategies for addressing them. Some of the issues the EAP can help with are listed below.
You can contact the EAP by telephone or in person. You can speak with a trained professional who will make a preliminary assessment of your needs. EAP counselors will either help you directly or refer you to the appropriate resources. Call the EAP at 281-575-3200 or 866-761-4540, or access the EAP resources online at www.achievesolutions.net/halliburton.
BENEFITS CONTACT INFO ON THE GO
Visit www.halliburton.mybenefitswalletcard.com
on any device with an internet connection to access Halliburton benefit contact information anywhere, anytime.
Depression Stress and anxiety Worry and guilt Communication issues
Parent/child relations Marriage and family issues Alcohol and drug problems
Personal tragedy Separation and divorce Grief and bereavement
Halliburton U.S. Domestic Benefits Guide > Benefits for 2018 17
WHEN TO ENROLL
If you would like to make changes to your benefits, or make HSA or FSA contributions for 2018, you must make an election during the enrollment window below. If you are a new hire, you have 30 days to enroll.
Current Employees: Enroll November 16 – December 6, 2017.
New Hires: Enroll within 30 days of your hire date.
If you take no action, your 2017 elections will carry forward to 2018, with the exception of Flexible Spending Accounts, Health Savings Account and Flex Days.
If you are a new hire and you do not enroll within 30 days of your hire date, unless you experience a qualified change in status which you report within 30 days, you will only be provided:
» Basic Life Insurance of one times your annual benefits base pay, up to $50,000.
» Basic Accidental Death and Dismemberment insurance of one times your annual benefits base pay, up to $200,000.
» Long-Term Disability insurance of 40% of your annual benefits base pay.
» LiveWell wellness program.
HOW TO ENROLL IN YOUR BENEFITS
First, review your benefit options before making changes for 2018. When you’re
ready to enroll, follow the steps below:
» 1. Visit www.halliburton.com/totalrewards, then log in with your user name and password, or from the HalWorld homepage, click on the Employee Benefits link in the Human Resources Toolkit located at the bottom of the page. Next, from the Benefits homepage, in the text box, click “here” to single sign on and go directly to the Total Rewards website.
Enrollment and Eligibility
Halliburton U.S. Domestic Benefits Guide18
» 2. Click Health and Benefits to complete your Annual Enrollment elections.
19Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility
Enrollment and Eligibility (continued)
» 3. In the Annual Enrollment sidebar or the upper left corner, select “Get Started.”
» 4. Click “Start Your Enrollment.”
Halliburton U.S. Domestic Benefits Guide20
» 5. Enroll in your benefits.
» NEW: Visit the Message Center on the Health and Benefits page at www.halliburton.com/totalrewards to review copies of any emails or mailed communications you receive from the Halliburton Benefits Center. From the home page, click “Menu.” Next, under “My Accounts,” select “Communications,” and then select “Personal Documents.”
21Halliburton U.S. Domestic Benefits Guide > Enrollment and Eligibility
Total Rewards Website
We’re always striving to empower you to use and understand your benefits. That’s why we provide the Total Rewards website, and that’s why we’re always expanding the resources available to you online. The site is a streamlined source for all of your benefit needs, available from any device, anytime, anywhere. Enroll, change and keep track of your benefits all in one convenient location, at www.halliburton.com/totalrewards.
Note: Halliburton Total Rewards is available for your use both during Annual Enrollment and throughout the year. Take advantage of the convenience of managing your benefits.
See the Forms & Documents page where you can access the Annual Enrollment Guide, Summary of Benefits Coverage and Summary Plan Description.
ChangeSelect “Change Your Benefits” to change your elections after a Qualified Change- in-Status Event.
Enroll Choose “Get Started” when it’s time for you to select your benefits, for a streamlined and intuitive enrollment experience.
Access
Use your dashboard to: » Visit provider websites. » View your current benefits.
Connect
Select Secure Chat to: » Chat privately with a customer service representative.
» Find answers to your questions.
Learn Click on the Knowledge Center tab to find: » Health education articles. » Interactive learning tools. » Instructional videos.
Halliburton U.S. Domestic Benefits Guide22
QUALIFIED CHANGE-IN-STATUS EVENTS
Under normal circumstances, your only opportunity to make changes to your 2018 benefits is Annual Enrollment or within 30 days of your date of hire. However, the IRS allows you to change some benefit elections during the year if you experience a qualified change-in-status. Adding dependents to your health plan is a two-step process. The Plan does not automatically enroll your dependents in coverage. You must call or go online to add your dependents to the benefits you want to have them covered for, and then you must verify their eligibility by providing the appropriate documentation within 30 days. If you do not report the life event to add your dependent or verify your dependent’s eligibility, they will not be covered, and your next opportunity to add them will be during the next Annual Enrollment period.
When you experience a qualified change-in-status or other special event, be sure to call the Halliburton Benefits Center or log on to Halliburton Total Rewards and make any necessary changes within 30 days. You will be informed of any changes in your cost for benefits. If you do not make changes within 30 days of the event, you will not be able to change your coverage until the next Annual Enrollment period.
Marriage Loss of coverage Adoption
Birth Death Divorce
Learn Click on the Knowledge Center tab to find: » Health education articles. » Interactive learning tools. » Instructional videos.
23Halliburton U.S. Domestic Benefits Guide > Total Rewards Website
The Halliburton Retirement and Savings Plan
OWN YOUR FUTURE FINANCIAL HEALTH: INVEST IN YOUR HALLIBURTON RETIREMENT & SAVINGS PLAN
Haven’t started saving for retirement yet? The Halliburton Retirement & Savings Plan is a program to help you build your savings for retirement. By not contributing at least 6% of your earnings into your Halliburton Retirement & Savings Plan, you’re losing out on money the Company is offering toward your retirement. The Company matches dollar for dollar on the first 4% you contribute and 50 cents on the next 2% — for a total match of 5%. You can enroll in the Halliburton Retirement & Savings Plan by logging on to the Halliburton Total Rewards website.
The Halliburton Retirement & Savings Plan offers two types of investment options:
Target Date PortfoliosTarget Date Portfolios can help take the guesswork out of choosing different investment options. They can help balance out your investment risks by rebalancing them as you move throughout your career and get closer to reaching your retirement age.
Single Focus StrategiesYou may choose from 10 Single Focus Strategies if you prefer to build and manage your own portfolio.
Please note, as with any of the investments offered by the Halliburton Retirement & Savings Plan, the asset value is not guaranteed at any time, including the target date. You can always find investment and plan information at www.halliburton.com/totalrewards, where you can view your account and investment choices anytime.
Naming or Updating Your BeneficiariesWhat would happen to all your retirement savings if something happened to you? If you haven’t reviewed who your beneficiaries are in a while, or if you need to add them, now is a good time to review and make updates. You may update your beneficiaries by logging on to the Halliburton Total Rewards website.
HALLIBURTON BASIC CONTRIBUTION
Generally, if you are an active employee (or on an approved leave of absence) on December 31, the Company will make an additional discretionary contribution, which will be a percentage of your annual eligible pay. The Company will determine in its discretion whether to make the Halliburton Basic Contribution each year and the amount. The contribution is deposited into your account regardless of whether or not you are making contributions to the plan.
Halliburton U.S. Domestic Benefits Guide24
Compliance and Legal Notices
This communication provides a brief overview of the benefit choices that will be offered to eligible Halliburton U.S. employees for 2018. It is not a complete description of the choices or a complete description of the plans. Detailed information is available in your Summary Plan Descriptions.
For questions about your benefits, please contact the Halliburton Benefits Center, Monday through Friday, at 866-321-0964 (if dialing internationally, use your country’s AT&T access number), or 857-362-5980, from 7:30 a.m. to 7:30 p.m. Central Time. You can also log on to www.halliburton.com/totalrewards for information or to initiate a chat session.
Every effort has been made to provide clear and accurate information about Halliburton’s benefit plans. However, in the event of a discrepancy between these materials, the Plan’s Summary Plan Description, and the other official Plan documents, the other official Plan documents will govern. There are no guarantees that participation under the benefit plans described in this material will remain unchanged in future years.
Halliburton reserves the right to change, suspend, amend or terminate the plans described in this material at any time, in whole or in part. This means that the plans may be:
» Discontinued in their entirety, » Changed to provide different levels of benefits, » Changed to provide for different cost sharing between the Company and participants, or
» Changed in any other way.
Any such change or termination shall be solely at the discretion of the Company. You will be notified if any such change or termination occurs.
THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998
Under Halliburton’s Medical Program, coverage will be provided to an employee or covered dependent who is receiving benefits for a medically necessary mastectomy and who elects breast reconstruction after the mastectomy for:
» Reconstruction of the breast on which a mastectomy has been performed, » Surgery and reconstruction of the other breast to produce a symmetrical appearance, » Prostheses, or » Treatment of physical complications of all states of mastectomy,
including lymphedemas.
25Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices
THE WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998 (CONTINUED)
This coverage will provide benefits in consultation with the attending physician and the patient, and will be subject to the same deductibles and co-insurance provided for the mastectomy.
IRS FORM 1095-c
If you are enrolled in the Halliburton medical plan, a 1095-c tax form will be issued to you and, if applicable, your covered dependents.
PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a state listed below, contact your state Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your state Medicaid or CHIP office or dial 1-877-KIDS-NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).
Halliburton U.S. Domestic Benefits Guide26
If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of August 10, 2017. Contact your state for more information on eligibility.
ALABAMA – Medicaid ALASKA – Medicaid
Website: http://myalhipp.com/Phone: 1-855-692-5447
The AK Health Insurance Premium Payment ProgramWebsite: http://myakhipp.com/Phone: 1-866-251-4861Email: [email protected] Medicaid Eligibility: http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
ARKANSAS – MedicaidCOLORADO – Health First Colorado (Colorado’s Medicaid Program) & Child Health Plan Plus (CHP+)
Website: http://myarhipp.com/Phone: 1-855-MyARHIPP (855-692-7447)
Health First Colorado Website: https://www.healthfirstcolorado.com/ Health First Colorado Member Contact Center: 1-800-221-3943/ State Relay 711CHP+: Colorado.gov/HCPF/Child-Health-Plan-PlusCHP+ Customer Service: 1-800-359-1991/ State Relay 711
FLORIDA – Medicaid GEORGIA – Medicaid
Website: http://flmedicaidtplrecovery.com/hipp/Phone: 1-877-357-3268
Website: http://dch.georgia.gov/medicaid- Click on Health Insurance Premium Payment (HIPP)Phone: 404-656-4507
INDIANA – Medicaid IOWA – Medicaid
Healthy Indiana Plan for low-income adults 19-64Website: http://www.in.gov/fssa/hip/Phone: 1-877-438-4479All other MedicaidWebsite: http://www.indianamedicaid.comPhone 1-800-403-0864
Website: http://dhs.iowa.gov/ime/members/ medicaid-a-to-z/hippPhone: 1-888-346-9562
KANSAS – Medicaid KENTUCKY – Medicaid
Website: http://www.kdheks.gov/hcf/Phone: 1-785-296-3512
Website: http://chfs.ky.gov/dms/default.htmPhone: 1-800-635-2570
LOUISIANA – Medicaid MAINE – Medicaid
Website: http://dhh.louisiana.gov/index.cfm/ subhome/1/n/331Phone: 1-888-695-2447
Website: http://www.maine.gov/dhhs/ofi/ public-assistance/index.htmlPhone: 1-800-442-6003TTY: Maine relay 711
MASSACHUSETTS – Medicaid and CHIP MINNESOTA – Medicaid
Website: http://www.mass.gov/eohhs/gov/ departments/masshealth/Phone: 1-800-862-4840
Website: http://mn.gov/dhs/people-we-serve/ seniors/health-care/health-care-programs/ programs-and-services/medical-assistance.jspPhone: 1-800-657-3739
MISSOURI – Medicaid MONTANA – Medicaid
Website: http://www.dss.mo.gov/mhd/ participants/pages/hipp.htmPhone: 573-751-2005
Website: http://dphhs.mt.gov/ MontanaHealthcarePrograms/HIPPPhone: 1-800-694-3084
27Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices
NEBRASKA – Medicaid NEVADA – Medicaid
Website: http://www.ACCESSNebraska.ne.govPhone: (855) 632-7633Lincoln: (402) 473-7000Omaha: (402) 595-1178
Medicaid Website: https://dwss.nv.gov/Medicaid Phone: 1-800-992-0900
NEW HAMPSHIRE – Medicaid NEW JERSEY – Medicaid and CHIP
Website: http://www.dhhs.nh.gov/oii/ documents/hippapp.pdfPhone: 603-271-5218
Medicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/Medicaid Phone: 609-631-2392CHIP Website: http://www.njfamilycare.org/ index.htmlCHIP Phone: 1-800-701-0710
NEW YORK – Medicaid NORTH CAROLINA – Medicaid
Website: https://www.health.ny.gov/ health_care/medicaid/Phone: 1-800-541-2831
Website: https://dma.ncdhhs.gov/ Phone: 919-855-4100
NORTH DAKOTA – Medicaid OKLAHOMA – Medicaid and CHIP
Website: http://www.nd.gov/dhs/services/medicalserv/medicaid/Phone: 1-844-854-4825
Website: http://www.insureoklahoma.orgPhone: 1-888-365-3742
OREGON – Medicaid PENNSYLVANIA – Medicaid
Website: http://healthcare.oregon.gov/Pages/index.aspxhttp://www.oregonhealthcare.gov/index-es.htmlPhone: 1-800-699-9075
Website: http://www.dhs.pa.gov/provider/medi-calassistance/healthinsurancepremiumpaymen-thippprogram/index.htmPhone: 1-800-692-7462
RHODE ISLAND – Medicaid SOUTH CAROLINA – Medicaid
Website: http://www.eohhs.ri.gov/Phone: 855-697-4347
Website: https://www.scdhhs.govPhone: 1-888-549-0820
SOUTH DAKOTA – Medicaid TEXAS – Medicaid
Website: http://dss.sd.govPhone: 1-888-828-0059
Website: http://gethipptexas.com/Phone: 1-800-440-0493
UTAH – Medicaid and CHIP VERMONT– Medicaid
Medicaid Website: https://medicaid.utah.gov/CHIP Website: http://health.utah.gov/chipPhone: 1-877-543-7669
Website: http://www.greenmountaincare.org/Phone: 1-800-250-8427
VIRGINIA – Medicaid and CHIP WASHINGTON – Medicaid
Medicaid Website: http://www.coverva.org/programs_premium_assistance.cfmMedicaid Phone: 1-800-432-5924CHIP Website: http://www.coverva.org/ programs_premium_assistance.cfmCHIP Phone: 1-855-242-8282
Website: http://www.hca.wa.gov/free-or-low-cost-health-care/program-administration/ premium-payment-programPhone: 1-800-562-3022 ext. 15473
WEST VIRGINIA – Medicaid WISCONSIN – Medicaid and CHIP
Website: http://mywvhipp.com/Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)
Website: https://www.dhs.wisconsin.gov/ publications/p1/p10095.pdfPhone: 1-800-362-3002
WYOMING – Medicaid
Website: https://wyequalitycare.acs-inc.com/Phone: 307-777-7531
Halliburton U.S. Domestic Benefits Guide28
To see if any other states have added a premium assistance program since August 10, 2017, or for more information on special enrollment rights, contact:
U.S. Department of LaborU.S. Department of Health and Human Services
Employee Benefits Security Administrationwww.dol.gov/agencies/ebsa 1-866-444-EBSA (3272)
Centers for Medicare & Medicaid Serviceswww.cms.hhs.gov1-877-267-2323, Menu Option 4, Ext. 61565
Paperwork Reduction Act Statement
According to the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA), no persons are required to respond to a collection of information unless such collection displays a valid Office of Management and Budget (OMB) control number. The Department notes that a Federal agency cannot conduct or sponsor a collection of information unless it is approved by OMB under the PRA, and displays a currently valid OMB control number, and the public is not required to respond to a collection of information unless it displays a currently valid OMB control number. See 44 U.S.C. 3507. Also, notwithstanding any other provisions of law, no person shall be subject to penalty for failing to comply with a collection of information if the collection of information does not display a currently valid OMB control number. See 44 U.S.C. 3512.
The public reporting burden for this collection of information is estimated to average approximately seven minutes per respondent. Interested parties are encouraged to send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employee Benefits Security Administration, Office of Policy and Research, Attention: PRA Clearance Officer, 200 Constitution Avenue, N.W., Room N-5718, Washington, DC 20210 or email [email protected] and reference the OMB Control Number 1210-0137.
OMB Control Number 1210-0137 (expires 12/31/2019)
29Halliburton U.S. Domestic Benefits Guide > Compliance and Legal Notices
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